The evaluation ranking scale: clarification of methodological and procedural issues

Compared with CSQ-8, a typical questionnaire approach to assessing global patient satisfaction, the Evaluation Ranking Scale (ERS) had equally good patient acceptability, yielded more normally distributed satisfaction scores, and results allowed comparative information about patients' evaluation of specific service dimensions. The study also addressed key questions that have emerged about the ERS procedure. Patients apparently do not distinguish conceptually between "importance" of dimensions and "satisfaction" with dimensions in the first phase (ranking) of the ERS. Results did confirm that the ERS sequence of ranking and then rating the dimensions is essential to achieving optimal utility of results. The ranking task seems to have an organizing effect on patients' approach to the rating task. This effect does not work to dictate results in the rating phase but rather seems to familiarize patients with the dimensions to be rated thereby yielding greater potential discriminative capacity for the ERS. Finally, results indicate that the ERS can be administered in a flexible fashion that yields additional information about the absolute importance of the six dimensions without loss of desired operating characteristics for the measure.     

Immigrant Children: Their Experience of Violence at School and Community in Host Country

This article describes our qualitative sociological study of immigrant children's life experiences of violence. We conducted interviews with 42 first‐generation immigrant children from any country, aged 9–13 years old, living in the Quebec City region (Canada). Results from three main themes are presented: representations of violence and concrete violent acts experienced; perceived effects of violence on children health and well‐being; and reactions and coping strategies. Overall, the narratives show that they may experience racist peer violence in school that leads to suffering situations, and they consequently have to develop strategies to maintain their well‐being. Social implications are discussed.     

Trends in Alcohol Consumption Among Undergraduate Students at a Northeastern Public University, 2002–2008

Abstract

Objective: This study examined alcohol consumption patterns and trends at a public university in the Northeast from 2002 to 2008. Participants: Stratified random sampling was used to select undergraduate students enrolled in courses during spring semesters in 2002, 2004, 2006, and 2008. Methods: Data were collected during regularly scheduled classes for 4 measures of alcohol consumption and 5 demographic categories using the Core Alcohol and Drug Survey. Results: Four groups showed significant increases in both frequency and volume of alcohol consumption—students who were female, over 21 years of age or over, living off-campus, or performing well academically. There were no decreasing trends for any demographic group. These results differ from national college health surveys, which have shown alcohol use remaining steady during this period. Conclusions: Campus-specific trend data can provide unique perspectives and guide programming efforts. These trends suggest a need for new intervention strategies on this campus.     

The Cognitive Domain of the Quality of Life of University Students: A Re-Analyses of an Instrument

This paper presents the re-analysis of a previouslypublished instrument, based on Bloom's taxonomy,developed to measure the cognitive domain of thequality of life of university students. The items inthis instrument were assessed using Guttman's SmallestSpace Analysis. The findings generally supportBloom's conceptualization, identifying 5 of 6dimensions in the taxonomy: Knowledge, Comprehension,Application, Analysis, and Evaluation. The findingsprovide support for the enduring utility of Bloom'staxonomy, and reinforce the ongoing need to testtheoretically informed instruments using sophisticatedstatistical techniques.     

The demography of Tristan da Cunha

The eruption of the volcano on Tristan da Cunha in 1961 and the subsequent arrival of the island population in the United Kingdom provided a unique opportunity for studying the health of this formerly isolated community. During their stay, while the facilities and services of modern medicine were made available to them, investigations of many facets of their general biology were made under the auspices of the Medical Research Council, co-ordinated by Dr. H. E. Lewis. Analysis of their demographic history was essential to understand many features of their disease pattern, and the results of this analysis are presented here. They are of interest in that they not only show some consistent trends in the common variables of demography, but also demonstrate biological principles, some perhaps for the first time in man, which may be fundamental in the process of colonization as a biological phenomenon, e.g. the initial difficulty of establishment of a population in a new area, the curious demographic structure that may emerge in its earliest years, the bottleneck effect of population-size reduction, the founder principle.     

Six for Lunch: A Dining Option for Residents with Dementia in a Special Care Unit

Recent research has focused on the design of special care units for residents with dementia, often identifying the social benefits of residentially scaled kitchen and dining areas. This qualitative case study examines how the environmental design features of two dining settings in one special care unit impact residents’ patterns of socialization and interaction at meal times. The first setting is a central dining room for 50 to 60 residents. The second setting is a small office with a residentially scaled kitchen, where once a week, the activity director invites six residents for lunch once a week. Within an ecological theoretical framework, the study findings reveal that, while mealtimes in both settings are highly anticipated, it is the complex relational ties between the operational, managerial, and environmental features of the settings which determine residents’ social interaction and satisfaction with their mealtime experiences.     

An Examination of the Association Between Relationship Mindfulness and Psychological and Relational Well-being in Committed Couples

Relationship mindfulness is the degree to which individuals tend to be mindful during interactions with romantic partners. In this study, we examined both the intrapersonal and interpersonal links between relationship mindfulness and psychological and relationship functioning in a sample of 219 couples who had been in their relationship for at least 1 year. Even when accounting for the general tendency to be mindful, relationship mindfulness was linked with markers of relationship well-being and psychological functioning, both intrapersonally and interpersonally. The findings bring to light the importance of considering relationship mindfulness in clinical work with couples that focuses on addressing deficiencies in relationship or psychological well-being.     

Return to work after workplace injury: Injured workers,insurers and employers

Returning injured workers to work is a central object of contemporary workers’ compensation systems. Injured workers’ interactions with insurers and employers are critical to achievement of timely and sustainable return to work outcomes. This article explores the interactions of injured workers with insurers and employers through analysis of their perceptions and experiences. The focus is on experiences with the NSW Workers Compensation scheme since 2012. To frame this analysis, the article proposes a model mapping these interactions, the relationships involved, the health, social and vocational consequences, and the return to work outcomes. The research found not only that the NSW Workers’ compensation system is failing to deliver a timely and durable return to work for many injured workers, but also that, for many, problematic and often pathogenic interactions with employers and insurers are resulting in exacerbated and secondary injuries and negative social and vocational consequences.     

Stability of noisy Metropolis–Hastings

Pseudo-marginal Markov chain Monte Carlo methods for sampling from intractable distributions have gained recent interest and have been theoretically studied in considerable depth. Their main appeal is that they are exact, in the sense that they target marginally the correct invariant distribution. However, the pseudo-marginal Markov chain can exhibit poor mixing and slow convergence towards its target. As an alternative, a subtly different Markov chain can be simulated, where better mixing is possible but the exactness property is sacrificed. This is the noisy algorithm, initially conceptualised as Monte Carlo within Metropolis, which has also been studied but to a lesser extent. The present article provides a further characterisation of the noisy algorithm, with a focus on fundamental stability properties like positive recurrence and geometric ergodicity. Sufficient conditions for inheriting geometric ergodicity from a standard Metropolis–Hastings chain are given, as well as convergence of the invariant distribution towards the true target distribution.